NHS England has launched a consultation on plans to stop offering treatments that are clinically ineffective or less effective than alternative treatments.
The proposals would mean that several treatments are not performed or only performed in clearly defined circumstances.
The following interventions are proposed to no longer be routinely commissioned by CCGs because they are ineffective or have been superseded by a safer alternative:
- Snoring Surgery (in the absence of Obstructive Sleep Apnoea)
- Dilatation and curettage for heavy menstrual bleeding in women
- Knee arthroscopy for patients with osteoarthritis
- Injections for nonspecific low back pain without sciatica
There are also recommendations that thirteen other interventions should only be performed in specific circumstances where they have been proved to be clinically effective. These include breast reduction, removal of benign lesions, use of grommets, tonsillectomy and haemorrhoid surgery.
The consultation runs until Friday 28 September 2018 and is part of a joint programme – the Evidence Based Intervention Programme – between NHS England, the Academy of Medical Royal Colleges, NICE, NHS Clinical Commissioners and NHS Improvement’s GIRFT Programme.
For more information and to respond, please visit the NHS England Consultation website.